Search › Minnesota › 103TC0700X
Jack Kasl, PH.D
NPI 1174614150 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1790 11th St Se
Forest Lake, MN 55025 - Phone
- (612) 867-8451
- Fax
- (763) 552-0787
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota